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HomeMy WebLinkAbout17489 (26) -� -----,---, -- , -- -- ------ -------._--- _ _ _ --_ _-- - _ .__ .-- - ----------- - EXPIRED _�� CITY OF DIAMOND BAR i DEPARTMENT OF COMMiJNITY&DEVELOPIvIENT SERVICES J U Pa 19 20�2 21825 E.Copley Drive (909)860-3193 Fax(909)861-3117 PR�$S �'��� BUILDINGPERMITAPPLICAT[ON FIRMLY o� JOBSITE ��G���� I APPLIC 90�I�r�/ NUMB A� �/C ADDRESS 7'Y DATE_fL � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER o AD� S ZONING SETBACKS z C ZIP TE FRONT RW O g APPLICANT TEL. SID SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDR, o � PROPOSED USE o ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. = C'DnDrRESS Z�P TEL. UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDEFi DECLARATION Q SFR/ADDlREM p 1 HEREBY AFFIRM UNDER VENALTY OF FERNRY THAT 1 AM E%EMPT FROM iME CONTMCTORS U- GBfege/CAfpOR � � W CENSEUWFOfiTMEFOLLO'AlINOREASON(SEG.70.1t.6BU5WE55ANDVROFE55lON5CO0E:ANVCITYOR (n � V GOUHTYY.�Ip1RE0UIRE5APERMITTOCONSTRUCLILLTER�PROVE.DEMOl15H,�NFlEPNRANYSTRUG W PatiO/DBCk � TURE,Pq1OR TO RS ISSUMlCE,hL50 REOUIRES THE APP�ICANT FOR SUCM PERMIT TO FILE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED VURSUANT TO THE VRONSIONS OF TME CONTMCTORS L4 CENSE lAW(CHAPTER 9(COMMENGPl�MA7H SECTION 7000)OF OIVISION]OF THE B1151NES5 AN0 0q0- u' PooVSpa FESSIONSCOOE)ORTHATMEONSNEISE%EMPTTHEREiROMANDTHEBASISFOIiIHEALLEGEDEXEA/P- (' TION.ANVVIDUTqNOFSECT10N7071.58VANVAPOUCANTFORAiEliMITSUBJECTSTNEAPPLIGWTTO Z Re•Roo1 F AGVIIPENALTYOFNOTMORETHANFNEHVNDREDDOLURS(f500).�: 0 OL�SO�NNEROFTHEVROPERTY,ORMYEMPLOVEESWITHWA6ESASiHEIR50LECOMVEN5AT10N, 0 CORIR10fCI8I � Z WILI DO THE WORK,/WD THE STRUCTURE IS NOT IMENDEO OR OFFERE�FOR SALE�SEC.70N,BU51� J � NE55 MID PHOFESSIONS CODE:THE CONTMCTORS IICENSE UW DDES NOi APPLY TO AN OWNER OF � PROPERTY W110 BU�DS OR Rd PROVES TMEREON,AND N710 DOES SUCH WORK HIIASELF OR HERSEIF pq Q TFIROUCMHISORHEHOWNEIIPLOYEE5,7ROVIDEDiWRSUCHIMPROVEMEMS�RENOTIMENDE00R m 0 OFGEREOfORSALE1F,11OWEVERiMEBUIIDINGORIMPROVEMENTISSOLOWfTMNONEYEAROFCOMPLE• Z TION.THE OWNER�BUILDER WILL HAVE TXE 8l1RDEN OF iROVwO TNAi HE OH SHE OID NOT BUItD OH � MAPROVEiORTNEPURVO5EOF5AlE� � W 04�OWNEROFTNE7ROPERTY,AMEXCLUSNELVCONTMCTIN6WRHUCENSEOCONTMCTOR$ (r TO CONSTRUCT THE PRQIECT(SEC.7W�.BUSINESS AND OROFESSIONS COOE:THE CONTMCTORS Lb VBIUaIIOfl ADJ.AREA W CENSEUWDOESNOT/WPLYTOANOWNEFOFAPROPERTYWFIOBURDSORIMPqpyESTMEREON./WD � W1qCONTMCTSFORSUCMFROJECTSWiTNACOMRACTOR�S�LICENSEDVURSUNiTTOTNECONTMG OUANTITY DESCRIPTION �E Y T01L5lICENSE UW.). �ry� ¢ O IAM OIEMPT UNDER SEC. B,t G.C.FOR TMIS REASON U I(/ � � DATE OWNER U �Q LICENSE�CONTRACTORS DECLARATION W J K IMEREBYAFFlRMUNDERPENKttOFGERNRVTHA7IAMLICENSEDUNDERVROVISIONSOFCMAPTER �r a, i(COMMENqNf3 VnTH SECTION70oo)OF DIV�SION 70F THE BUSINESS AND VHOFESSIONS COOE,Ml� Z O NY LICENSE IS IN RAl FORCE AND EFFECT. �/� � � �..-, UCENSE CUSS �J�f LIC.NO. � V DATE_/��J"f/,! GONTMCTO d W � WORKERS'COMPENSATION DECUIRATION Q � IHEREBYAFFIRMUNOERPENAITYOFVERJURY0NE0FTHEFOLLOWINOOECUMTqNS; z � �IHAVEANDWILLAUMTNNACERTIFICATEOFCONSENTTOSELF-INSUREFORV�9RKER5' _ COMPENS�TpN,ASPROVIDEDBYSEGTION770oOFTNEIABORCODE,FOi1THEGERWNMANCE �U Q OF WORKFORWHIp17HI5VEPMI71SI55UED. � 1 HAVE AND WILL IAAIMAIN WORNERS'COIA7ENSATION INSURANCE,AS RFOUIRED BV SFCTqN � J7o00FTHELA80RCODE,FORTHEPERFORM�4ICEOFTHEWORKFORVMIp1TMI5PERM1T15 J ISSUED.MYWOHKEAS' MPENSATIONINSUMNCEC iERANDPOIiCYNUMBERME: CONSTRUCTION • � CAARiER �� � _ PLAN REVIEW , 0 POIIGV NUMBER� � ELECTRIC 0 (nassEcroNr�NoreEa�.s��oocnEr�awrs�a.�Miwnmoau��s+ro>oq�ss� PWMBING I � y. t Z I CERTIFY THAT INTHE FERFORMANCE OF TNE WORK FOH WHIGH MIS VERMIT IS ISSUED,1 MECHANICAL (7 SWdLNOTEMPLOYANVVER50NNMnMANNER50A5TOBECOMESV&7ECTTOME .� _, - __ _,__ (n WORKERS'COMPENSATIONUWSOFCAUFpRNIA,ANDIICREETHATIfI5/10ULDBECOME ' INSPECTIONFEE � � S SUB,IECTTOTHEYVORKERS'COMPENSATiONPROV15lON50F5ECTION07o00FTHEUBOR J_L _ , . _ - n CO�E,1 SHALL FOi7TMYITH COMPLY VATH hqSE VROVISiONS. ISSUANCE sC � SMIP l nrn S_n �nn, p DATE: APPLICANT: ^ J WMNIN6:F�0.URETOSECUREWORKERS'COMPENSATqNCOVERAGEISUNUWF{){.,ANDSMALLBE ENERGYPlC � 11�7�1 �y, SUFl7ECTANEMPLOYERTOCNIMWALPENALTIE5M10CMLFWESUPTOONEHUNOHEDTMOUSAND ENERGYPERMIT ��•" � D�LLARS(3 i0D.7UD1.�N ADDITION TO THE COST OF COMPENSATqN.DMIAGES AS PROYIOED FOR IN � SECf10N�70eOFiHELABORL'ODE.WTEREST.�NDATTORNEY'SFEES. RETENTIONFEE: .. ����-�• O� oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBVAFFIRAIUNOERPENAITYOFPERNRYTHATTHEREISACONSTHUCTIONlEN01NGAGENCY Z FORTME PERFORMANCE OF 771E WORK FOR N71Ip1 THiS 7ERMITIS ISSVED(SEC.7oG7,CIV.G). , W � LENDER'SNNAE � LENDER'SADORESS � ICERTIFYTHATINAVEREIILITMISAPVLICATqNANOSTATET/UITTMEABOVEWFOfiIAATqNISCORfiECi TOTAL FEES /���� � IAGREETOCOMPLVVATMALLCITVlWOCIX1NTYOfi01NANCESANDSTATEUWSPEUTINOTOBURDIN� �, CONSTRUCTION,ANDHEREBYAUTHORIZENEPRESEMATIVESOFTHISCOUNTYTOENTERUPONTHE Z h80VE�lAEMqNEDVROFERTYFORINSPECTlO URPOSES. COMMENTS O D � m PEiUAI EEN (PRINn Q � � NAT D � RECPT.�O. PAID BY Z VALIDATION HITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicanfs Copy . . . .�. ..e... -` . r :"�,. .• �` .f:r.. , �1 ,,4:.. ... .. .. '� , '}y!; r;i--i�. . .. - .. . �.. .... ,... .. ,.. ..� _�,. ,p:,..- " . ...�� .t' .1t.; ci-��° or �;,�r�ror�c ���r� It'�Si'�L�IJP� i=��Ct�[�D li'�-'�R?a��'CCey►,�� ��"_�C- ._�1►�1-y.���£ ��,1;�.:_...,.._. ��rF'i:�l q`�1'[�iii�l: �� ry����'= ,I���'a:l�c ��,:�. ________.___,�._ ..-_ __._.. _ ___. -- � - - - - -,- _---� .__ _ _--- __---------_- —.._ _ _. .__ __ _�. - _ SET BACK � _ � . . �, � I FLOOR Jt�1Sl. , "� _ �- -_ _ FTGS/FORMS/STEEL � V` � FHA RFQ^JIT� � ! ELECTRIC GROUND _ � + UNDER FLGOR DUCT la " I, 1 GROUND PLUP�IBING � UN�ER Ft�00R CU�,IDUIT• _ � - ' •• 1 ' SLAB GRADE � FIREPLAC+��FOUPIDATION I'� �• I ' ' TEPAP POWER � FIREPLACE BOND F3EAh1 . WATER SERVICE I^ � P✓iiD HT. �ON�BEf�M � � ' ' ROdF SHEATHWG ' • ' ` � - I 8�• 60Cd3 BeA�.� � ' �' � � � • � FRAMINGNENTILIATION - FINAL B�ND BEAM ROOF COVER ' PRE-GRAUING � ROUGH HEATIRG � BENCHING � ROUGH ELECTRIC I ,�^--1 � ROUGH GRADiNG � ROUGH PWMBlNG ,�:�""�� -""'"� ~ .FIt�dISH uRADWG _ SHOWERlfUB TEST j i POOL ELECTRIC EXT. LATH!SIDING ! I POaL FENCING WALL INSULATION � POOL F1�lAL � CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILI�JG � � DEDIC!',TIONS SEV✓ER FINAL EPJG. SEPTIC TANK LAFJDSCAPE/IRRIG. SEEP PITlL.I.. ON SITE Ih�1PS. • GAS AIR TEST •- _ .,I FWAL ZOPJING FINAL CONST. ' ' ' ` '�'" �IRE fJEPT. FIPJAL FINAL HEAT�NG __l �HE1'+t_TH DEPT. FINAL FINAL ELEGTRIC DEV. �EES PAID FINAL PLUMBING ENERGY r., -- , ---'-- ---. --.._�.._-..1..s :�it -I� 3 c_. . -`_• — , . '--T —.- COPJIMENTS SEPTIC TANK SIZE � SEEP PIT/U SIZE �►�G � ' ,��w� i p'i , . . .;:�-� . , . � , , � . ... . . _ .